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HypercholesterolemiaPhase 3V-MonoNCT05763875

Efficacy and Safety of Inclisiran as Monotherapy in Patients With Primary Hypercholesterolemia Not Receiving Lipid-lowering Therapy.

A Phase 3 study testing Inclisiran and Ezetimibe in people with Hypercholesterolemia, run by Novartis Pharmaceuticals at 42 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

CKJX839D12304 was a research study to determine if the study treatment, called inclisiran, in comparison to placebo and ezetimibe effectively reduces Low-Density Lipoprotein Cholesterol (LDL-C) as measured by percentage change from baseline to Day 150. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Hypercholesterolemia
What is being tested?
Inclisiran and Ezetimibe
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
350 participants
Where
42 sitesin 5 countries
Study dates
15 Mar 2023to 20 Jun 2024
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • informed consent signed prior to participation in study
  • fasting LDL-C of >= 100 mg/dL but < 190 mg/dL
  • fasting triglycerides <= 400 mg/dL
  • 10-year ASCVD risk score < 7.5%
  • not on any lipid-lowering therapy within 90 days of screening

Who cannot join

  • history of ASCVD
  • diabetes mellitus or fasting plasma glucose of >= 7.0 mmol/L or HbA1c >= 6.5%
  • secondary hypercholesterolemia, e.g. hypothyroidism (TSH above upper limit of normal)

Trial locations and contacts

42 sites in 5 countries.

42 sites in 5 countries

United States22 sites
  • Parkway Medical Center

    Birmingham, Alabama, 35215

  • Grace Research LLC

    Bossier City, Louisiana, 71111

  • Hillcrest Medical Research

    DeLand, Florida, 32720

  • SEC Clinical Research

    Dothan, Alabama, 36305

  • Conrad Clinical Research

    Edmond, Oklahoma, 73013

  • Lillestol Research LLC

    Fargo, North Dakota, 58103

  • WellNow Urgent Care and Research

    Huber Heights, Ohio, 45424

  • ClinCloud

    Maitland, Florida, 32751

  • Alma Clinical Research Inc

    Miami, Florida, 33165

  • Inpatient Research Clinical LLC

    Miami Lakes, Florida, 33014

  • Monroe Biomedical Research

    Monroe, North Carolina, 28112

  • Koch Family Medicine

    Morton, Illinois, 61550

  • Compass Point Research

    Nashville, Tennessee, 37203

  • Harmony Clinical Research

    North Miami Beach, Florida, 33162

  • Fam Medical Specialists Of Fl Plc

    Plant City, Florida, 33563

  • Dominion Medical Associates

    Richmond, Virginia, 23219

  • Grace Research Llc

    Shreveport, Louisiana, 71101

  • Mt Olympus Medical Research

    Sugar Land, Texas, 77479

  • Prime Global Research Inc

    The Bronx, New York, 10456

  • Spaulding Clinical Research

    West Bend, Wisconsin, 53095

  • Southern Clin Research Clinic

    Zachary, Louisiana, 70791

  • Cozy Research LLC

    Zephyrhills, Florida, 33541

Other trials in United States

Germany9 sites
  • Novartis Investigative Site

    Berlin, 10787

  • Novartis Investigative Site

    Bochum, 44789

  • Novartis Investigative Site

    Gladbeck, 45968

  • Novartis Investigative Site

    Hamburg, 22607

  • Novartis Investigative Site

    Hanover, Lower Saxony, 30449

  • Novartis Investigative Site

    Jerichow, Saxony-Anhalt, 39319

  • Novartis Investigative Site

    Löhne, North Rhine-Westphalia, 32584

  • Novartis Investigative Site

    Munich, Bavaria, 80809

  • Novartis Investigative Site

    Papenburg, 26871

Other trials in Germany

Mexico5 sites
  • Novartis Investigative Site

    Culiacan Sinaloa, 80230

  • Novartis Investigative Site

    Mérida, Yucatán, 97070

  • Novartis Investigative Site

    Monterrey, Nuevo León, 64060

  • Novartis Investigative Site

    Monterrey, Nuevo León, 64440

  • Novartis Investigative Site

    Querétaro, 76000

Other trials in Mexico

Colombia4 sites
  • Novartis Investigative Site

    Barranquilla, Atlántico, 080012

  • Novartis Investigative Site

    Floridablanca, Santander Department, 57-7

  • Novartis Investigative Site

    Manizales, 170008

  • Novartis Investigative Site

    San Gil, 684031

Other trials in Colombia

Hungary2 sites
  • Novartis Investigative Site

    Budapest, 1083

  • Novartis Investigative Site

    Pécs, 7623

Other trials in Hungary

About this study

Official title: A Double-blind, Randomized, Placebo- and Active-Comparator Controlled Study to Evaluate the Efficacy of Inclisiran as Monotherapy in Patients With Primary Hypercholesterolemia Not Receiving Lipid-Lowering Therapy (VictORION-Mono)

CKJX839D12304 was a research study to determine if the study treatment, called inclisiran, in comparison to placebo and ezetimibe effectively reduces Low-Density Lipoprotein Cholesterol (LDL-C) as measured by percentage change from baseline to Day 150. This study was conducted in eligible participants with primary hypercholesterolemia not receiving any lipid-lowering therapy (LLT), with a 10-year Atherosclerotic Cardiovascular Disease (ASCVD) risk of less than 7.5%.

Read the detailed description

This study was a randomized, double-blind, placebo- and active comparator-controlled, multicenter study in 350 adult participants with primary hypercholesterolemia not receiving any LLT with a 10-year ASCVD risk score of less than 7.5%. This study evaluated the efficacy and safety of inclisiran sodium 300 mg, administered as a monotherapy in comparison to ezetimibe and placebo.

The study consisted of:

  • a screening period of up to 14 days;
  • a double-blind treatment period of 150+/- 5 days during which participants were randomly assigned to either the inclisiran arm, the ezetimibe arm or the placebo arm in a 2:1:1 ratio; and
  • a safety follow-up / End of Study visit conducted 30+5 days after the Day 150 visit.

The overall study duration was approximately 190 days.

Being tested
Inclisiran, Ezetimibe, Matching Placebo for Inclisiran, Matching Placebo for Ezetimibe
Keywords
inclisiran, ezetimibe, LDL-C, monotherapy, primary hypercholesterolemia
Medical subject headings
Hypercholesterolemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • InclisiranDrug

    Also called KJX839

    284 mg (equivalent to 300 mg inclisiran sodium) subcutaneous injection given on Day 1 and Day 90

  • EzetimibeDrug

    Also called Sandoz ezetimibe

    10 mg over-encapsulated tablet taken once a day from Day 1 through Day 149

  • Matching Placebo for InclisiranDrug

    Also called Placebo s.c.

    0mg placebo injection solution for subcutaneous injection on Day 1 and Day 90

  • Matching Placebo for EzetimibeDrug

    Also called Placebo p.o.

    0mg over-encapsulated placebo tablet taken once a day from Day 1 through Day 149

Study groups in NCT05763875
Study groupRoleWhat they receive
InclisiranExperimentalInclisiran s.c and Placebo p.o
Receives: Drug: Inclisiran; Drug: Matching Placebo for Ezetimibe
EzetimibeActive comparatorPlacebo s.c. and Ezetimibe p.o.
Receives: Drug: Ezetimibe; Drug: Matching Placebo for Inclisiran
PlaceboPlacebo comparatorPlacebo s.c. and Placebo p.o.
Receives: Drug: Matching Placebo for Inclisiran; Drug: Matching Placebo for Ezetimibe

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage Change in Low-density Lipoprotein Cholesterol (LDL-C) From Baseline to Day 150

    Percentage change in LDL-C from Baseline (day 1) to Day 150, Inclisiran arm versus Ezetimibe and placebo.

    There were two estimands of interest in comparing efficacy of inclisiran as monotherapy against that of placebo or ezetimibe that differ on the treatment of interest used for each and the management of intercurrent events as follows:

    • Monotherapy Estimand: Inclisiran as monotherapy compared to the use of comparator. This estimand uses a hypothetical strategy where participants who permanently discontinued treatment, died or used other LLTs were handled in a hypothetical scenario of what would have happened if the intercurrent event did not happen.
    • Treatment-policy Estimand: Inclisiran as monotherapy compared to the use of comparator with or without other lipid lowering therapies (LLTs) added. This estimand ignored the use of other LLTs and treatment discontinuation. Deaths (if any) were handled as an unfavorable outcome using a composite variable strategy.

    Measured: Baseline, Day 150

Secondary outcomes (8)
  1. Absolute Change in LDL-C From Baseline to Day 150

    Absolute change in LDL-C from Baseline (Day 1) to Day 150, Inclisiran arm versus Ezetimibe and placebo.

    There were two estimands of interest in comparing efficacy of inclisiran as monotherapy against that of placebo or ezetimibe that differ on the treatment of interest used for each and the management of intercurrent events as follows:

    • Monotherapy Estimand: Inclisiran as monotherapy compared to the use of comparator. This estimand uses a hypothetical strategy where participants who permanently discontinued treatment, died or used other LLTs were handled in a hypothetical scenario of what would have happened if the intercurrent event did not happen.
    • Treatment-policy Estimand: Inclisiran as monotherapy compared to the use of comparator with or without other lipid lowering therapies (LLTs) added. This estimand ignored the use of other LLTs and treatment discontinuation. Deaths (if any) were handled as an unfavorable outcome using a composite variable strategy.

    Measured: Baseline, Day 150

  2. Percentage Change in Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) From Baseline to Day 150

    Percentage change in PCSK9 from Baseline (Day 1) to Day 150 , Inclisiran arm versus Ezetimibe and placebo.

    There were two estimands of interest in comparing efficacy of inclisiran as monotherapy against that of placebo or ezetimibe that differ on the treatment of interest used for each and the management of intercurrent events as follows:

    • Monotherapy Estimand: Inclisiran as monotherapy compared to the use of comparator. This estimand uses a hypothetical strategy where participants who permanently discontinued treatment, died or used other LLTs were handled in a hypothetical scenario of what would have happened if the intercurrent event did not happen.
    • Treatment-policy Estimand: Inclisiran as monotherapy compared to the use of comparator with or without other lipid lowering therapies (LLTs) added. This estimand ignored the use of other LLTs and treatment discontinuation. Deaths (if any) were handled as an unfavorable outcome using a composite variable strategy.

    Measured: Baseline, Day 150

  3. Percentage Change in Non-High-Density Lipoprotein Cholesterol (Non-HDL-C) From Baseline to Day 150

    Percentage change in non-HDL-C from Baseline (Day 1) to Day 150, Inclisiran arm versus Ezetimibe and placebo.

    There were two estimands of interest in comparing efficacy of inclisiran as monotherapy against that of placebo or ezetimibe that differ on the treatment of interest used for each and the management of intercurrent events as follows:

    • Monotherapy Estimand: Inclisiran as monotherapy compared to the use of comparator. This estimand uses a hypothetical strategy where participants who permanently discontinued treatment, died or used other LLTs were handled in a hypothetical scenario of what would have happened if the intercurrent event did not happen.
    • Treatment-policy Estimand: Inclisiran as monotherapy compared to the use of comparator with or without other lipid lowering therapies (LLTs) added. This estimand ignored the use of other LLTs and treatment discontinuation. Deaths (if any) were handled as an unfavorable outcome using a composite variable strategy.

    Measured: Baseline, Day 150

  4. Percentage Change in Total Cholesterol (TC)/HDL-C Ratio From Baseline to Day 150

    Percentage change in total cholesterol/HDL-C ratio from Baseline (Day1) to Day 150, Inclisiran arm versus Ezetimibe and placebo.

    There were two estimands of interest in comparing efficacy of inclisiran as monotherapy against that of placebo or ezetimibe that differ on the treatment of interest used for each and the management of intercurrent events as follows:

    • Monotherapy Estimand: Inclisiran as monotherapy compared to the use of comparator. This estimand uses a hypothetical strategy where participants who permanently discontinued treatment, died or used other LLTs were handled in a hypothetical scenario of what would have happened if the intercurrent event did not happen.
    • Treatment-policy Estimand: Inclisiran as monotherapy compared to the use of comparator with or without other lipid lowering therapies (LLTs) added. This estimand ignored the use of other LLTs and treatment discontinuation. Deaths (if any) were handled as an unfavorable outcome using a composite variable strate

    Measured: Baseline, Day 150

  5. Percentage Change in Apolipoprotein B (Apo B) From Baseline to Day 150

    Percentage change in Apo B from Baseline (Day 1) to Day 150, Inclisiran arm versus Ezetimibe and placebo.

    There were two estimands of interest in comparing efficacy of inclisiran as monotherapy against that of placebo or ezetimibe that differ on the treatment of interest used for each and the management of intercurrent events as follows:

    • Monotherapy Estimand: Inclisiran as monotherapy compared to the use of comparator. This estimand uses a hypothetical strategy where participants who permanently discontinued treatment, died or used other LLTs were handled in a hypothetical scenario of what would have happened if the intercurrent event did not happen.
    • Treatment-policy Estimand: Inclisiran as monotherapy compared to the use of comparator with or without other lipid lowering therapies (LLTs) added. This estimand ignored the use of other LLTs and treatment discontinuation. Deaths (if any) were handled as an unfavorable outcome using a composite variable strategy.

    Measured: Baseline, Day 150

  6. Percentage Change in Apo B/Apo A-1 Ratio From Baseline to Day 150

    Percentage change in Apo B/Apo A-1 ratio from baseline (Day 1) to Day 150, Inclisiran arm versus Ezetimibe and placebo.

    There were two estimands of interest in comparing efficacy of inclisiran as monotherapy against that of placebo or ezetimibe that differ on the treatment of interest used for each and the management of intercurrent events as follows:

    • Monotherapy Estimand: Inclisiran as monotherapy compared to the use of comparator. This estimand uses a hypothetical strategy where participants who permanently discontinued treatment, died or used other LLTs were handled in a hypothetical scenario of what would have happened if the intercurrent event did not happen.
    • Treatment-policy Estimand: Inclisiran as monotherapy compared to the use of comparator with or without other lipid lowering therapies (LLTs) added. This estimand ignored the use of other LLTs and treatment discontinuation. Deaths (if any) were handled as an unfavorable outcome using a composite variable strategy.

    Measured: Baseline, Day 150

  7. Change in Lipoprotein (a) [Lp(a)] From Baseline to Day 150

    Day 150 / Baseline ratio in Lp(a) in Inclisiran arm versus Ezetimibe and placebo.

    There were two estimands of interest in comparing efficacy of inclisiran as monotherapy against that of placebo or ezetimibe that differ on the treatment of interest used for each and the management of intercurrent events as follows:

    • Monotherapy Estimand: Inclisiran as monotherapy compared to the use of comparator. This estimand uses a hypothetical strategy where participants who permanently discontinued treatment, died or used other LLTs were handled in a hypothetical scenario of what would have happened if the intercurrent event did not happen.
    • Treatment-policy Estimand: Inclisiran as monotherapy compared to the use of comparator with or without other lipid lowering therapies (LLTs) added. This estimand ignored the use of other LLTs and treatment discontinuation. Deaths (if any) were handled as an unfavorable outcome using a composite variable strategy.

    Measured: Baseline, Day 150

  8. Incidence of Treatment Emergent Adverse Events (TEAE) and Serious Adverse Events (SAE)

    Incidence of TEAEs (regardless of seriousness) and SAEs by treatment group, including changes in laboratory results qualifying and reported as AEs.

    Measured: From first dose of study treatment on Day 1 up to Day 180

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Mar 2023
  2. Study start15 Mar 2023
  3. Primary completion20 Jun 2024
  4. Study completion20 Jun 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Multi-center, randomized, double-blind, placebo- and active comparator-controlled, parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
350 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05763875
Sponsor's protocol ID
CKJX839D12304
Acronym
V-Mono
Status last verified
Oct 2025
First submitted
28 Feb 2023
Last updated
16 Oct 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Publications

  • Taub PR, Gutierrez A, Wewers D, Garcia Cantu E, Cao H, Deck C, Lesogor A, Ott D, Mena-Madrazo J, Zang X, Wright RS. Safety and Lipid-Lowering Efficacy of Inclisiran Monotherapy in Patients Without ASCVD: The VICTORION-Mono Randomized Clinical Trial. J Am Coll Cardiol. 2025 Jul 22;86(3):196-208. doi: 10.1016/j.jacc.2025.04.049. Epub 2025 May 5.

    PubMed 40392667

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Inclisiran and Ezetimibe in people with Hypercholesterolemia, run by Novartis Pharmaceuticals at 42 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 16 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 sites in United States, Germany, Mexico, Colombia, Hungary. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 13 Aug 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage Change in Low-density Lipoprotein Cholesterol (LDL-C) From Baseline to Day 150 (time frame: Baseline, Day 150). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05763875, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Oct 2025.

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